Job Description
Role: Claims Assessor Job Type: Permanent Location:Remote (2 days per month onsite) Co. Donegal The Role? We are currently recruiting for a analyticalClaims Assessorto join our clients financial services department. The role involves the assessment of Life, Serious Illness, Bill Cover, Income Protection, Pension Life Cover and Disability Claims & reviewing medical evidence on behalf of the Company, ensuring that all aspects of the Risk claims assessment process comply with Claims Procedures, Legal & Compliance guidelines as well as deadlines and company procedures. In this role you will be accountable for: Assessing new claims and issue relevant medical and financial requirements. Calculating the claim benefits owed to our customers and handling the ongoing payment of these benefits. Reviewing existing claims to ensure the terms for ongoing payment to our customers continues to be met. Corresponding with Advisors, Employers, Claimants, Reinsurers, Legal Representatives, Next of Kin and Doctors. Developing a high level of technical and medical expertise. Building and maintaining effective working relationships within various partners. Supporting and training more junior claims staff. This is an exciting opportunity to learn new skills and help in expanding our Claims capability while expanding your experience in an investment, insurance, and retirement environment. Key responsibilities: Managing customer interactions in an efficient, empathetic, and timely manner in order to deliver high standards of customer satisfaction. Effectively manage all types of claims. Review claims accurately in accordance with Company guidelines and best practices. Reviewing allocated cases and achieving settlement within designated personal authority level and in line with established standards, procedures and guidance provided. Identifying non-standard or complex claims and escalating to more senior colleagues to ensure they are handled appropriately. Ensures that Company service standards are upheld, adhering to company policies and regulatory requirements when facilitating claims processing. Evaluate insurance policy coverage for claims advised. Ensuring system reads all data accurately for each claim making amendments where necessary. Respond in a timely manner to internal and external inquiries for information relative to claims. Review, prepare, create, and/or send letters, reports, and forms as required for any claims. Communicate claim action/processing with claimant in a clear and empathetic manner. Identify notification issues, coordinates resolution and takes corrective actions as needed. Complete ongoing CPD to maintain relevant qualifications. Required Skills & Qualifications: Proven experience in a Life Assurance Company, preferably in a Claims or Underwriting environment Diploma in Life and Disability Claims (DLDC) or the CII Diploma in Life and Disability Underwriting (DLDU) or QFA Qualification or Accredited Product Advisor (Life Assurance &Pensions) Possess and demonstrate a level of general technical knowledge and other skills sufficient to handle assigned caseload of claims within designated handling authority. Ability to read and interpret medical reports. Exhibit strong critical thinking and problem-solving skills. Demonstrate careful attention to detail, diligent and conscientious in the accuracy of their work. Excellent written and verbal communication skills. If you are interested in applying for this role, please do so via the relevant link. If you would like to discuss this role in confidence, please contact directly. eir evo talent, eir evo and our clients are equal opportunity employers who seeks to recruit and appoint the best available person for a job regardless of marital / civil partnership status, sex (including pregnancy), age, religion, belief, race, nationality and ethnic or national origin, colour, sexual orientation or disability. eir evo talent, eir evo and our clients apply all relevant Data Protection laws when processing your Personal Data. If you choose to apply to this opportunity and share your CV or other personal information with eir evo talent, eir evo and our clients, these details will be held by us in accordance with our privacy policy used by our recruitment team to contact you regarding this or other relevant opportunities at eir evo talent and eir evo Job Reference:EET6184 Skills: Claims or Underwriting experience Critical thinking Excellent written and verbal communication skills. Benefits: Work From Home